Esophageal rupture during balloon dilation of strictures of benign or malignant causes: Prevalence and clinical importance

Sung Gwon Kang, Ho Young Song, Myung Kwan Lim, Hyun Ki Yoon, Dong Erk Goo, Kyu Bo Sung

Research output: Contribution to journalArticlepeer-review

34 Scopus citations

Abstract

PURPOSE: To review the prevalence and clinical importance of esophageal rupture during balloon dilation for treatment of esophageal stricture. MATERIALS AND METHODS: Fluoroscopically guided esophageal balloon dilation was performed within 9 years in 96 consecutive patients with esophageal strictures. Esophageal rupture was classified into three types: type 1 was intramural; type 2, transmural; and type 3, transmural with mediastinal leakage. RESULTS: Each patient underwent one to seven procedures, for a total of 191 procedures. Esophageal rupture occurred in 20 patients (21%). Type 1 esophageal rupture occurred in eight patients, type 2 in 11, and type 3 in one. All esophageal ruptures were detected immediately after the procedure. Sixteen patients were treated with fasting, parenteral alimentation, and antibiotics; two were treated surgically; and two were treated with stent placement. No treatment-related deaths occurred. CONCLUSION: The overall prevalence of esophageal rupture was 21%. A substantial number of patients who developed type 1 rupture had associated clinical symptoms, such as pain and fever, but responded to conservative management and are thus included as having complications of esophageal balloon dilation.

Original languageEnglish (US)
Pages (from-to)741-746
Number of pages6
JournalRadiology
Volume209
Issue number3
DOIs
StatePublished - Dec 1998
Externally publishedYes

Keywords

  • Esophagus, interventional procedure
  • Esophagus, perforation
  • Esophagus, stenosis or obstruction
  • Interventional procedures, complications

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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